| Entity Name: | KRYSTAL CLEAR DENTAL, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Nov 2007 (17 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L07000116660 |
| FEI/EIN Number | 331191701 |
| Address: | 19445 SHUMARD OAK DRIVE, 101, LAND O LAKES, FL, 33648 |
| Mail Address: | 19445 SHUMARD OAK DRIVE, 101, LAND O LAKES, FL, 33648 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417110537 | 2008-07-09 | 2008-07-09 | 18838 DUQUESNE DR, TAMPA, FL, 336473421, US | 19445 SHUMARD OAK DR, LAND O LAKES, FL, 346387262, US | |||||||||||||||||
|
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| Phone | +1 813-849-3695 |
Authorized person
| Name | DR. KRYSTELLE TERRY DUVERT |
| Role | DENTIST |
| Phone | 8138493695 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 16987 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUVERT KRYSTELLE T | Agent | 18838 DUQUESNE DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| DUVERT KRYSTELLE T | Director | 18838 DUQUESNE DRIVE, TAMPA, FL, 3347 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08023900382 | KRYSTAL CLEAR DENTAL | EXPIRED | 2008-01-23 | 2013-12-31 | No data | 18838 DUQUESNE DR., TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-05 | 18838 DUQUESNE DRIVE, 101, TAMPA, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2009-10-20 | 19445 SHUMARD OAK DRIVE, 101, LAND O LAKES, FL 33648 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-10-20 | 19445 SHUMARD OAK DRIVE, 101, LAND O LAKES, FL 33648 | No data |
| REINSTATEMENT | 2009-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-07-10 | DUVERT, KRYSTELLE TDDS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-16 |
| ANNUAL REPORT | 2010-01-05 |
| REINSTATEMENT | 2009-10-20 |
| ANNUAL REPORT | 2008-07-10 |
| Florida Limited Liability | 2007-11-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
